Incidence of Thyroid Disease in Adolescent Females Presenting with Heavy Menstrual Bleeding

Angela C Weyand; Elisabeth H Quint; Gary L Freed

doi:10.1016/j.jpeds.2019.04.051

Incidence of Thyroid Disease in Adolescent Females Presenting with Heavy Menstrual Bleeding

J Pediatr. 2019 Sep:212:232-234. doi: 10.1016/j.jpeds.2019.04.051. Epub 2019 May 23.

Authors

Angela C Weyand¹, Elisabeth H Quint², Gary L Freed³

Affiliations

¹ Division of Pediatric Hematology and Oncology, Department of Pediatrics, University of Michigan Medical School, Ann Arbor, MI. Electronic address: acweyand@med.umich.edu.
² Division of Pediatric and Adolescent Gynecology, Department of Obstetrics and Gynecology, University of Michigan Medical School, Ann Arbor, MI.
³ Child Health Evaluation and Research (CHEAR) Center, University of Michigan, Ann Arbor, MI; Division of General Pediatrics, Department of Pediatrics, University of Michigan Medical School, Ann Arbor, MI; Department of Health Management and Policy, School of Public Health, University of Michigan, Ann Arbor, MI.

PMID: 31130290
DOI: 10.1016/j.jpeds.2019.04.051

Abstract

The incidence of thyroid disease in adolescents with heavy menstrual bleeding is unknown. A retrospective cross-sectional study of 427 adolescents presenting with heavy menstrual bleeding found 0.23% (95% CI 0%-0.7%) had thyroid disease, lower than that expected in the general population. Thyroid testing should only be considered when other symptomatology is present.

Keywords: clinical guidelines; primary care.

MeSH terms

Adolescent
Cross-Sectional Studies
Female
Humans
Incidence
Menorrhagia / complications*
Retrospective Studies
Thyroid Diseases / complications*
Thyroid Diseases / epidemiology*